Operative surgery . c \ Fig. 1321.—Operation for artificial urethra. Morriss Aponeurosis of external oblique, b, b. Flaps, c, of displaced flaps. 1130 OPERATIVE SURGERY. The Comments.—If vesical tenesmus follow, the catheter should beremoved and the drainage wick substituted. The urine is kept acid, absorb-ent cotton applied as often as needed, the psitient kept in bed, and continu-ous urethral catheterism maintained if danger of urinary infiltration beapprehended. McGwire punctured the bladder, established a fistula with it,and regulated the discharge of urine by fitting
Operative surgery . c \ Fig. 1321.—Operation for artificial urethra. Morriss Aponeurosis of external oblique, b, b. Flaps, c, of displaced flaps. 1130 OPERATIVE SURGERY. The Comments.—If vesical tenesmus follow, the catheter should beremoved and the drainage wick substituted. The urine is kept acid, absorb-ent cotton applied as often as needed, the psitient kept in bed, and continu-ous urethral catheterism maintained if danger of urinary infiltration beapprehended. McGwire punctured the bladder, established a fistula with it,and regulated the discharge of urine by fitting to the fistula a silver plugheld in place by a belt worn around the hips. The Results.—The functional use of the sinus urethra is quite satisfac-tory in all respects. The intervals between the acts of micturition vary. *^*f?^ Fig. 1322. Fig. 1323. Fig. 1322.—Operation for artificiul urethra, Morriss method, c, c. Fhips turned 1333.—Operation for artificial urethra, Morriss metliod. Wound closed, showing orifice in lower end. from two to six hours, and are not attended with discomfort, and the dis-charge of the urine is free and pronounced. Cicatricial narrowing is some-times excessive and objectionable. Morriss Modification of McGuires Operation.—Morris proceeded afterthe manner of McGuire in exposing and opening the bladder. However, hetemporarily stitched the bladder to the abdominal wall while preparing andattaching to the incision in the bladder the two skin flaps that constitutethe modification. A skin flap a third of an inch in width and about threeinches in length, including the fat and subcutaneous tissue, is dissectedfrom either side of the abdominal incision and remains attached below(Fig. 1321). The free ends are turned inside so as to bring their cutaneoussurfaces in co
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